Evidence map›Paper›PMID 36629738›Full record

ArticleAnnals of medicine2023

Addition of venetoclax to myeloablative conditioning regimens for allogeneic hematopoietic stem cell transplantation in high-risk AML.

Xing-Yu Cao, Jia-Qi Chen, Hui Wang, Wei Ma, Wei-Wei Liu, Fang-Fang Zhang, Song Xue, Lei Dong, Ting Liu, Xiao-Zhen Zhao and 5 more

Open access · goldAbstract read
In one paragraph

Article in Annals of medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Article
  3. Allogeneic Transplantation for Older Adults.Advances in experimental medicine and biology · 2025
    Review
  4. Review
  5. Review
  6. Review
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Xing-Yu CaoDepartment of Bone Marrow Transplant, Hebei Yanda Lu Daopei Hospital, Langfang, China.
Jia-Qi ChenDivision of Laboratory Medicine, Hebei Yanda Lu Daopei Hospital, Langfang, China.
Hui WangDepartment of Clinical Diagnosis, Hebei Yanda Lu Daopei Hospital, Langfang, China.
Wei MaDepartment of Bone Marrow Transplant, Hebei Yanda Lu Daopei Hospital, Langfang, China.
Wei-Wei LiuDepartment of Bone Marrow Transplant, Hebei Yanda Lu Daopei Hospital, Langfang, China.
Fang-Fang ZhangDepartment of Bone Marrow Transplant, Hebei Yanda Lu Daopei Hospital, Langfang, China.
Song XueDepartment of Bone Marrow Transplant, Hebei Yanda Lu Daopei Hospital, Langfang, China.
Lei DongDepartment of Bone Marrow Transplant, Hebei Yanda Lu Daopei Hospital, Langfang, China.
Ting LiuDepartment of Bone Marrow Transplant, Hebei Yanda Lu Daopei Hospital, Langfang, China.
Xiao-Zhen ZhaoDepartment of Bone Marrow Transplant, Hebei Yanda Lu Daopei Hospital, Langfang, China.
Chan-Chan LiuDepartment of Bone Marrow Transplant, Hebei Yanda Lu Daopei Hospital, Langfang, China.
Xin XuDepartment of Bone Marrow Transplant, Hebei Yanda Lu Daopei Hospital, Langfang, China.
Yang HeDepartment of Bone Marrow Transplant, Hebei Yanda Lu Daopei Hospital, Langfang, China.
Lei WangDepartment of Clinical Pharmacology, Hebei Yanda Lu Daopei Hospital, Langfang, China.
Jian-Ling WangHLA Typing Laboratory, Hebei Yanda Lu Daopei Hospital, Langfang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVenetoclax monotherapy is an effective option for patients with acute myeloid leukemia (AML). Venetoclax has also been used in non-myeloablative conditioning allogeneic hematopoietic stem cell transplantation (allo-HSCT) for high-risk AML with a tolerable toxicity profile. However, the efficacy and safety of a venetoclax-containing myeloablative conditioning (MAC) allo-HSCT regimen for high-risk AML have not been evaluated.

objectiveTo evaluate the safety and efficacy of a MAC regimen containing venetoclax for high-risk AML. STUDY

designFrom 25 February 2021 to 4 September 2022, a total of 31 patients with high-risk AML who underwent allo-HSCT and a MAC regimen with venetoclax were analyzed.

resultsAt the time of transplantation, 21 patients were in first complete remission (CR1), 4 were in a second complete remission (CR2), and 6 in non-remission (NR). Twenty-four patients (77.4%) were minimal residual disease (MRD)-positive before transplant. The FLT3-ITD gene mutation was present in 51.6% of patients. NUP98 rearrangement, MLL rearrangement or MLL-PTD and DEK::CAN fusion genes were found in 5 (16.1%), 7(22.6%) and 2 (6.5%) patients, respectively. Twenty-nine (93.6%) patients underwent haploidentical allo-HSCT. The median follow-up time was 278 days (range: 52-632 days). The 100-day cumulative incidence of grade 3 to 4 acute graft-versus-host disease (aGVHD) was 16.1% (95%CI, 7.2-36.0%). The 180-day cumulative incidence of moderate to severe chronic graft-versus-host disease (cGVHD) was 7.1% (95%CI, 1.9-26.9%). Cumulative incidence of 100-day cytomegalovirus (CMV) viraemia and 100-day Epstein-Barr virus (EBV) viraemia was 61.6% (95%CI, 46.5-81.4%) and 3.2% (95%CI, 0.4-22.2%), respectively. The 600-day overall survival (OS) and leukemia-free survival (LFS) were 80.9% (95%CI, 63.5-93.6%) and 81.3% (95%CI, 64.2-93.7%), respectively. The 600-day relapse incidence (RI) and non-relapse mortality (NRM) was 6.9% (95%CI, 1.8-26.3%) and 11.7% (95%CI, 3.9-35.0%).

conclusionOur study shows that the addition of venetoclax to a MAC allo-HSCT was feasible, safe and effective for high-risk AML patients.

Indexed as

Cytomegalovirus InfectionsEpstein-Barr Virus InfectionsGraft vs Host DiseaseHematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteBridged Bicyclo Compounds, HeterocyclicChromosomal Proteins, Non-HistoneHerpesvirus 4, HumanHumansOncogene ProteinsPoly-ADP-Ribose Binding ProteinsRetrospective StudiesSulfonamidesTransplantation ConditioningTransplantation, HomologousViremiaBridged Bicyclo Compounds, HeterocyclicChromosomal Proteins, Non-HistoneDEK protein, humanOncogene ProteinsPoly-ADP-Ribose Binding ProteinsSulfonamidesvenetoclaxAcute myeloid leukemia (AML)allogeneic hematopoietic stem cell transplantation (allo-HSCT)myeloablative conditioning (MAC)venetoclax

Identifiers

PMID36629738
PMCPMC9851264
OpenAlexW4315620817

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.